Medicare Advantage Plans for Clarke County, Virginia

  • 20 Total Plans
  • 3,859 Seniors Eligible for Medicare
  • 892 Seniors on Medicare Advantage (23%)
  • 2 plans with 26 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 9 plans with 401 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 11% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Virginia Enrollees
UnitedHealthcare AARP Medicare Advantage (HMO-POS)
H5253-089-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 125
Humana HumanaChoice H5216-266 (PPO)
H5216-266-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 111
Anthem Blue Cross and Blue Shield Anthem MediBlue Access (PPO)
H4909-014-0 		Local PPO No $0 Yes $1,000 Yes No Yes Yes No 82
Humana HumanaChoice H5216-027 (PPO)
H5216-027-0 		Local PPO No $0 Yes No No Yes No No 70
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 48
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 47
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H2577-014-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 37
Aetna Medicare Aetna Medicare Select Plan (HMO-POS)
H3931-143-0 		HMOPOS $135 per Quarter No $540 Yes $3,000 No No Yes No No 29
Humana HumanaChoice R1390-002 (Regional PPO)
R1390-002-0 		Regional PPO $25 per Quarter No $100 Yes No No Yes No No 28
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-344-0 		Local PPO $90 per Quarter No $360 Yes $3,000 No No Yes No No 26
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 19
Humana HumanaChoice H5216-312 (PPO)
H5216-312-0 		Local PPO No $0 Yes No No Yes No No 17
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H7464-001-0 		HMOPOS $264 per Month No $0 Yes $3,600 Yes No Yes Yes No 17
Humana Humana Honor (PPO)
H5216-310-0 		Local PPO No $0 Yes No No Yes No No 15
Anthem HealthKeepers Anthem MediBlue Essential (HMO)
H3447-025-0 		HMO $42 per Quarter Yes $168 Yes $2,000 Yes No Yes Yes No 14
Anthem HealthKeepers Anthem MediBlue Full Dual Advantage (HMO D-SNP)
H3447-011-0 		HMO $400 per Quarter Yes $1,600 Yes $3,000 Yes No Yes Yes No 14
UnitedHealthcare AARP Medicare Advantage Rebate (HMO-POS)
H5253-120-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 14
Aetna Better Health of Virginia Aetna Better Health of Virginia (HMO D-SNP)
H1610-001-0 		HMO $375 per Month No $0 Yes $5,000 No No Yes No No 12
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 12
Humana Humana Gold Plus H5619-047 (HMO)
H5619-047-0 		HMO No $0 Yes No No Yes No No 11
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